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CMS RVU26D · Effective 2026-10-01

65778 in Delaware

Office / nonfacility

$1259.30

Base rate per service

Facility setting

$35.66

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmology

About 65778: Ocular surface amniotic membrane placement without sutures

Reports placement of an amniotic membrane on the ocular surface without sutures, often to support healing of a persistent epithelial defect or other surface injury.

An ophthalmologist places an amniotic membrane over the ocular surface without suturing it in place. The service may be used for a persistent corneal epithelial defect, a nonhealing corneal ulcer, or ocular surface damage after injury. It is commonly performed in an office or ambulatory surgical setting when the clinician determines that membrane coverage is appropriate to support surface healing.

Report this code when the membrane is placed on the ocular surface without sutures; documentation should identify the clinical indication, treated eye, and placement method. The service has a 0-day global period, so same-day preoperative and postoperative care is included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS payment is 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 65778

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.82 · 2%
  • Practice expense (office) RVU37.29 · 98%
  • Malpractice RVU0.04 · 0%

71.8K

Medicare services in 2024 · #662 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

65778 compared with similar codes

Office rates for Delaware, from the same CMS release.

65779

Amniotic membrane

Single layer, sutured

$1,126.85

The key distinction is fixation: 65778 is for membrane placement without sutures, while 65779 is for placement with sutures.

65780

Amniotic membrane graft

Multiple layers

No office rate

65780 describes ocular surface reconstruction involving amniotic membrane transplantation; 65778 is the more specific service of placing a membrane without sutures.

65710

Corneal transplant

Lamellar technique

No office rate

65710 is a corneal transplant procedure. It is not the code for placing an amniotic membrane on the ocular surface without sutures.

The same code, a different location

How does Delaware compare?

65778 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $1259.30

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1502.85

    $243.55 higher than Delaware

  3. Dc + Md/Va Suburbs

    $1497.58

    $238.28 higher than Delaware

  4. Miami

    $1327.35

    $68.05 higher than Delaware

  5. Chicago

    $1282.39

    $23.09 higher than Delaware

  6. Manhattan

    $1478.55

    $219.25 higher than Delaware

  7. Alaska*

    $1368.30

    $109.00 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 65778 ranges from $1097.98 in Arkansas to $1827.16 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 65778

    Office

    $1117.97

    Facility

    $34.28

    $141.33 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 65778

    Office

    $1097.98

    Facility

    $34.10

    $161.32 lower than Delaware for the office setting.

  • Arizona

    Arizona · 65778

    Office

    $1235.44

    Facility

    $35.33

    $23.86 lower than Delaware for the office setting.

  • Bakersfield

    California · 65778

    Office

    $1393.81

    Facility

    $36.41

    $134.51 higher than Delaware for the office setting.

  • Chico

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • El Centro

    California · 65778

    Office

    $1393.67

    Facility

    $36.26

    $134.37 higher than Delaware for the office setting.

  • Fresno

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Madera

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Merced

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Modesto

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Napa

    California · 65778

    Office

    $1671.39

    Facility

    $39.04

    $412.09 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65778

    Office

    $1501.19

    Facility

    $37.28

    $241.89 higher than Delaware for the office setting.

  • Redding

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Rest Of California

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65778

    Office

    $1394.11

    Facility

    $36.71

    $134.81 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65778

    Office

    $1477.63

    Facility

    $37.25

    $218.33 higher than Delaware for the office setting.

  • Salinas

    California · 65778

    Office

    $1472.51

    Facility

    $37.08

    $213.21 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65778

    Office

    $1518.58

    Facility

    $37.32

    $259.28 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65778

    Office

    $1786.79

    Facility

    $40.49

    $527.49 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 65778

    Office

    $1786.74

    Facility

    $40.45

    $527.44 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 65778

    Office

    $1827.16

    Facility

    $41.23

    $567.86 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 65778

    Office

    $1826.97

    Facility

    $41.05

    $567.67 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65778

    Office

    $1447.22

    Facility

    $36.56

    $187.92 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 65778

    Office

    $1541.99

    Facility

    $37.20

    $282.69 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 65778

    Office

    $1481.15

    Facility

    $37.05

    $221.85 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 65778

    Office

    $1558.42

    Facility

    $37.54

    $299.12 higher than Delaware for the office setting.

  • Stockton

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Vallejo

    California · 65778

    Office

    $1671.32

    Facility

    $38.97

    $412.02 higher than Delaware for the office setting.

  • Visalia

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Yuba City

    California · 65778

    Office

    $1393.66

    Facility

    $36.26

    $134.36 higher than Delaware for the office setting.

  • Colorado

    Colorado · 65778

    Office

    $1353.99

    Facility

    $36.22

    $94.69 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 65778

    Office

    $1370.98

    Facility

    $37.11

    $111.68 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 65778

    Office

    $1291.52

    Facility

    $36.91

    $32.22 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 65778

    Office

    $1220.11

    Facility

    $36.10

    $39.19 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 65778

    Office

    $1294.52

    Facility

    $36.20

    $35.22 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 65778

    Office

    $1139.98

    Facility

    $35.24

    $119.32 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 65778

    Office

    $1444.32

    Facility

    $36.14

    $185.02 higher than Delaware for the office setting.

  • Iowa

    Iowa · 65778

    Office

    $1167.57

    Facility

    $34.34

    $91.73 lower than Delaware for the office setting.

  • Idaho

    Idaho · 65778

    Office

    $1173.90

    Facility

    $34.47

    $85.40 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 65778

    Office

    $1175.96

    Facility

    $36.53

    $83.34 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 65778

    Office

    $1166.64

    Facility

    $35.88

    $92.66 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 65778

    Office

    $1309.10

    Facility

    $37.15

    $49.80 higher than Delaware for the office setting.

  • Indiana

    Indiana · 65778

    Office

    $1182.63

    Facility

    $34.54

    $76.67 lower than Delaware for the office setting.

  • Kansas

    Kansas · 65778

    Office

    $1154.01

    Facility

    $34.40

    $105.29 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 65778

    Office

    $1135.88

    Facility

    $34.85

    $123.42 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 65778

    Office

    $1200.94

    Facility

    $35.51

    $58.36 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 65778

    Office

    $1130.95

    Facility

    $34.88

    $128.35 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 65778

    Office

    $1516.85

    Facility

    $38.08

    $257.55 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65778

    Office

    $1340.42

    Facility

    $36.28

    $81.12 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65778

    Office

    $1365.92

    Facility

    $37.01

    $106.62 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 65778

    Office

    $1289.35

    Facility

    $35.99

    $30.05 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 65778

    Office

    $1174.10

    Facility

    $34.67

    $85.20 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 65778

    Office

    $1262.54

    Facility

    $35.18

    $3.24 higher than Delaware for the office setting.

  • Detroit

    Michigan · 65778

    Office

    $1231.57

    Facility

    $36.41

    $27.73 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 65778

    Office

    $1166.06

    Facility

    $35.30

    $93.24 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 65778

    Office

    $1309.42

    Facility

    $35.00

    $50.12 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 65778

    Office

    $1198.24

    Facility

    $35.28

    $61.06 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 65778

    Office

    $1214.46

    Facility

    $35.40

    $44.84 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 65778

    Office

    $1102.33

    Facility

    $34.74

    $156.97 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 65778

    Office

    $1100.77

    Facility

    $34.42

    $158.53 lower than Delaware for the office setting.

  • Montana**

    Montana · 65778

    Office

    $1274.24

    Facility

    $35.74

    $14.94 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 65778

    Office

    $1190.31

    Facility

    $34.79

    $68.99 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 65778

    Office

    $1273.45

    Facility

    $34.95

    $14.15 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 65778

    Office

    $1177.51

    Facility

    $34.37

    $81.79 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 65778

    Office

    $1325.14

    Facility

    $35.86

    $65.84 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 65778

    Office

    $1475.34

    Facility

    $38.68

    $216.04 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 65778

    Office

    $1390.06

    Facility

    $37.61

    $130.76 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 65778

    Office

    $1171.13

    Facility

    $35.43

    $88.17 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 65778

    Office

    $1275.27

    Facility

    $35.52

    $15.97 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65778

    Office

    $1512.55

    Facility

    $39.96

    $253.25 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65778

    Office

    $1394.08

    Facility

    $37.92

    $134.78 higher than Delaware for the office setting.

  • Queens

    New York · 65778

    Office

    $1503.27

    Facility

    $39.36

    $243.97 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 65778

    Office

    $1211.57

    Facility

    $34.99

    $47.73 lower than Delaware for the office setting.

  • Ohio

    Ohio · 65778

    Office

    $1165.89

    Facility

    $35.14

    $93.41 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 65778

    Office

    $1140.68

    Facility

    $34.69

    $118.62 lower than Delaware for the office setting.

  • Portland

    Oregon · 65778

    Office

    $1412.59

    Facility

    $36.61

    $153.29 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 65778

    Office

    $1268.87

    Facility

    $35.31

    $9.57 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65778

    Office

    $1326.06

    Facility

    $36.78

    $66.76 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65778

    Office

    $1172.04

    Facility

    $35.09

    $87.26 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 65778

    Office

    $1287.93

    Facility

    $35.80

    $28.63 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 65778

    Office

    $1315.72

    Facility

    $36.35

    $56.42 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 65778

    Office

    $1179.38

    Facility

    $35.01

    $79.92 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 65778

    Office

    $1273.36

    Facility

    $34.85

    $14.06 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 65778

    Office

    $1160.28

    Facility

    $34.48

    $99.02 lower than Delaware for the office setting.

  • Austin

    Texas · 65778

    Office

    $1346.39

    Facility

    $36.05

    $87.09 higher than Delaware for the office setting.

  • Beaumont

    Texas · 65778

    Office

    $1162.05

    Facility

    $35.01

    $97.25 lower than Delaware for the office setting.

  • Brazoria

    Texas · 65778

    Office

    $1262.96

    Facility

    $35.60

    $3.66 higher than Delaware for the office setting.

  • Dallas

    Texas · 65778

    Office

    $1269.32

    Facility

    $35.77

    $10.02 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 65778

    Office

    $1256.88

    Facility

    $35.71

    $2.42 lower than Delaware for the office setting.

  • Galveston

    Texas · 65778

    Office

    $1265.52

    Facility

    $35.68

    $6.22 higher than Delaware for the office setting.

  • Houston

    Texas · 65778

    Office

    $1266.25

    Facility

    $36.41

    $6.95 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 65778

    Office

    $1210.59

    Facility

    $35.25

    $48.71 lower than Delaware for the office setting.

  • Utah

    Utah · 65778

    Office

    $1199.38

    Facility

    $35.18

    $59.92 lower than Delaware for the office setting.

  • Virginia

    Virginia · 65778

    Office

    $1252.68

    Facility

    $35.23

    $6.62 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65778

    Office

    $1287.93

    Facility

    $35.80

    $28.63 higher than Delaware for the office setting.

  • Vermont

    Vermont · 65778

    Office

    $1261.13

    Facility

    $35.01

    $1.83 higher than Delaware for the office setting.

  • Rest Of Washington

    Washington · 65778

    Office

    $1340.29

    Facility

    $36.15

    $80.99 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 65778

    Office

    $1558.10

    Facility

    $38.46

    $298.80 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 65778

    Office

    $1221.01

    Facility

    $34.52

    $38.29 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 65778

    Office

    $1111.66

    Facility

    $35.40

    $147.64 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 65778

    Office

    $1273.90

    Facility

    $35.39

    $14.60 higher than Delaware for the office setting.

See how rates vary across the country

65778 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$1,097.98

$1,610.41

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,368.301
AL$1,117.971
AR$1,097.981
AZ$1,235.441
CA$1,393.66–$1,827.1629
CO$1,353.991
CT$1,370.981
DC$1,497.581
DE$1,259.301
FL$1,220.11–$1,327.353
GA$1,139.98–$1,294.522
GU$1,444.321
HI$1,444.321
IA$1,167.571
ID$1,173.901
IL$1,166.64–$1,309.104
IN$1,182.631
KS$1,154.011
KY$1,135.881
LA$1,130.95–$1,200.942
MA$1,340.42–$1,516.852
MD$1,289.35–$1,497.583
ME$1,174.10–$1,262.542
MI$1,166.06–$1,231.572
MN$1,309.421
MO$1,102.33–$1,214.463
MS$1,100.771
MT$1,274.241
NC$1,190.311
ND$1,273.451
NE$1,177.511
NH$1,325.141
NJ$1,390.06–$1,475.342
NM$1,171.131
NV$1,275.271
NY$1,211.57–$1,512.555
OH$1,165.891
OK$1,140.681
OR$1,268.87–$1,412.592
PA$1,172.04–$1,326.062
PR$1,287.931
RI$1,315.721
SC$1,179.381
SD$1,273.361
TN$1,160.281
TX$1,162.05–$1,346.398
UT$1,199.381
VA$1,252.68–$1,497.582
VI$1,287.931
VT$1,261.131
WA$1,340.29–$1,558.102
WI$1,221.011
WV$1,111.661
WY$1,273.901

Explore 65778 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 65778 in Delaware, the physician’s office rate is $1259.30 and the facility-setting rate is $35.66: a difference of $1223.64.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 65778 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1385.23

$1259.30 × 110% = $1385.23

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 65778 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,340

Code
65778
Physician work
0.82
Practice expense
37.29
Malpractice
0.04

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 65778 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.82× 1.0050.8241
Practice expense37.29× 0.98836.8425
Malpractice0.04× 0.8990.0360
Total RVUs37.7026
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$1259.30

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 65778 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.821.005
Practice expense37.290.988
Malpractice0.040.899

(0.82 × 1.005 + 37.29 × 0.988 + 0.04 × 0.899) × $33.4009 = $1259.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.821.005
Practice expense0.210.988
Malpractice0.040.899

(0.82 × 1.005 + 0.21 × 0.988 + 0.04 × 0.899) × $33.4009 = $35.66

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

65778 · Office / nonfacility

$1259.30

Effective 2026-10-01

The base rate is $51.11 higher than on 2025-10-01, moving from $1208.19 to $1259.30 (4.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $1208.19changed to$1259.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.84 changed to 0.82
    • Practice expense RVU 36.76 changed to 37.29
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1208.19

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1259.30$35.66RVU26D
2026-07-01$1259.30$35.66RVU26C
2026-04-01$1259.30$35.66RVU26B
2026-01-01$1259.30$35.66RVU26A
2025-10-01$1208.19$42.12RVU25D
2025-07-01$1208.19$42.12RVU25C
2025-04-01$1208.19$42.12RVU25B
2025-01-01$1208.19$42.12RVU25A

65778 billing questions

How does this differ from 65779?

Both codes report amniotic membrane placement on the ocular surface. Use 65778 when the membrane is placed without sutures and 65779 when it is sutured.

What documentation supports 65778?

Document the ocular surface condition being treated, the eye involved, and that the amniotic membrane was placed without sutures.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

How is bilateral placement reported?

CMS lists this as a bilateral procedure; reporting modifier 50 results in payment at 150%.

What happens when another procedure is performed in the same session?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and the other procedure is paid at 50%.

Can an assistant surgeon be paid for this service?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 65778PPRRVU2026_Oct_nonQPP.csv, line 7,340 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet